Individual provider Active NPI

Cheryl Lindgren, DDS

  • General Practice Dentistry
  • Cottage Grove, MN
National Provider Identifier
1174515092
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10787 Issued in MN
Practice address
6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645
Phone
(651) 769-1000
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10787 MN Primary

Addresses

Primary practice location

6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645

Mailing address

6936 Pine Arbor Dr S
Suite 210
Cottage Grove, MN 55016-4645
Phone (651) 769-1000

Other identifiers 1

IdentifierTypeStateIssuer
522022000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1174515092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S",
            "address_2": "SUITE 210",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164645",
            "telephone_number": "651-769-1000",
            "fax_number": "651-203-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S",
            "address_2": "SUITE 210",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164645",
            "telephone_number": "651-769-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522022000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.